[Research of implant accuracy using a digital registration method].

PURPOSE: The aim of this study was to introduce a new method to evaluate the clinical accuracy of implant position. The results were compared to traditional cone beam CT (CBCT) method. METHODS: A total of 36 implants from 24 patients with sufficient bone volume were enrolled into the study. CBCT method and digital registration method were compared to evaluate the accuracy of implant position. The measurement parameters were defined as deviations between ideal and postsurgical implant position at occlusal point(d1), apical point(d2) and axis(α). The deviations between two methods were analyzed with SPSS 19.0 software package. RESULTS: The deviations between ideal and postsurgical implant position using CBCT were (0.88±0.64) mm for occlusal point, (1.07±0.85) mm for apical point and (4.74±2.35)° for angle. In digital registration method, the deviations were (0.86±0.67) mm for occlusal point, (1.12±0.88) mm for apical point and (4.56±2.66)° for angle. No significant difference(P＞0.05) was found between the two methods. CONCLUSIONS: There was no significant difference between the two methods in evaluating the clinical accuracy of implant position. Digital registration method could be accepted in clinical application.

[Preliminary study of Simplant software in mandibular molar implantation].

PURPOSE: The purpose of the study was to investigate the clinical effect and implementation method of mandibular molar implantation using a CT machine combined with Simplant software so as to provide a safer and more reliable method for preoperative preparation of mandibular molar implantation. METHODS: CT/cone-beam CT (CBCT) examinations were applied among 10 cases selected into the study. The Simplant software was used to measure the distances between implantation point center and superior wall of inferior alveolar nerve canal (H1), buccolingual diameter (H2), mesiodistal diameter (H3), ginginal thickness(H4) and occlusal distance (H5). Simplant software was also applied to calculate the bone mineral density of implantation areas and trace the inferior alveolar nerve canal. RESULTS: H1 was between 10.7 mm-17.6 mm, H3 was between 5.4mm-8.3mm.The 10 selected cases undertook implantations according to the results of simulation and all of them succeed after a one year's clinical follow-up. CONCLUSIONS: According to its accuracy in measuring data of the implantation area, Simplant software can be routinely used in preoperative preparation of mandibular molar implantation, which will make the process safer and more controllable.